Organization
COMMUNITY EDUCATION AND PROGRAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEE NESBITT (EXECUTIVE DIRECTOR)
(910) 893-6021
Entity
Organization
Contact information
Practice address
1218 N MAIN ST, LILLINGTON, NC 27546-6845
(910) 893-6021
(910) 893-6051
Mailing address
1218 N MAIN ST, LILLINGTON, NC 27546-6845
(910) 893-6021
(910) 893-6051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NC
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0000X
Family Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NC
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
09/26/2008
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